HomeMy WebLinkAbout23861-zFORFi NO. 4
TOWN OF SOUTEOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-25085
Date JUNE 13, 1997
THIS CERTIFIES that the buildin~
Location of Property. 1450 LONGVIEW LANE
House No.
County Tax Map No. 1000 Section 88
Subdivision
ADDITION
SOUTHOLD, N.Y.
Street Hamlet
Block 4 Lot 43
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated DECEMBER 3, 1996 pursuant to which
Building Permit No. 23861-Z dated DECEMBER 11, 1996
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is
issued is GARAGE ADDITION TO EXISTING GARAGE OF A OWE FAMILY DWELLING
AS APPLIED FOR.
The certificate is issued to
of the aforesaid building.
MARY ANN FAP~LEY
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
N-418219 - APRIL 28, 1997
N/A
~ 'Bu].lds. ng~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PER~IT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
23s6~ zDote ....... ...~....,~(../. ..................................... .. ,,?.~.
Permission is hereby grqFrl~ql to: .
..... ~Z~.~..~ ..........................
....................... ~.z~......~ ........
~ . ................ ~ ...... ~ .. ~ .... ~..... .....
·
~t p~,~,~ ~ed ~ ............... ~.~..~..~.~.~~ ............................
County Tax Map No. 1000 Section ..... ~/~'~"~" Block ....... ~ ......... Lot No....~....~...
pursuant to application doted ........... ~...~....~.. ................. , 19..~..~::~ and approved by the
Building Inspector.
Building Inspector
Rev. 6/30/80
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-I802
. APPLICATION FOR CERTIFICATE OF OCCUPANCY ~20~3~&~,
T~is application must be filled in by t~pewriter OR in~ and submitted to the building
±nspecto~ with the following~ ~or new building or new use~
1. Final survey of .property with accurate location of all buildings, property lines,
streets, and unusual natural or topographic features.
2. Final Approval from Realth Dept. of water supply and sewerage-disposal(S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains
less than 2/10 of 1% lead.
5. Commercial building, in.dust~rial building, multiple residences and similar buildings
and installations, a certificate of Code Compliance from architect or engineer
responsible for the building.
6. Submit Planning Board Approval of c6mpleted si~e plan requirements..
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
Upre-existing" land uses:
1. Accurate survey of property showing all property lines, streets, building and
unusual natural or topographic features.
2. A properly completed application and a consent to inspect signed by the applicant.
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
C ? Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Buildin~ - $i00.00 '?
3. Copy of Certificate of Occupancy - ~..25~.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
pate ~"~/~ ~ .. .
~ew Construction ..... O~d Or ~re-exSstSng BuS[dS~g ................
~o~o~ o~ ,~o~=~.., .... ~.~ .... ~s~¢.~/.~:~..~.~ ........ &~7~.q ~ .............
House No. Street Ha~et
Onwer or O~ers of Property .... - .....................................................
can=~ ~= ~ ~o ~00o, ~,=~an....~.~. ...... ~o~...~ ........... ~o~..~g. ................
Subdivision Filed MapLot ·
Health Dept Approval Underwriters Approval ..
Planning Board Approval ........ ~ ...............
/
Request for: Temporary Certificate ........... Final Certicate ...........
APPLICANT
Al)l) I'l'l ()/IAI, (;f,)~'ll. llr, ll'l',*J;
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [, ] I~LATION/
[ ] FRAMING [v] FINAL
[ ] FIREPlACE&CHIMNEY
,,~.A,,,~s~ ~ Z ~
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
F~MING [~ ] FINAL
FIREPLACE & CHIMNEY
DATE~/~7
INSPECTf~
765-1802
BUILDING DEPT.
INSPECTION
[ ~FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ] INSULATION
/
[ VI/FRAMING [ ] FINAL
[ ] FIREPLACE &CHIMNEY
REMARKS:
DATE '?~//'~ 7 INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [~/FINAL
[ ] FIREPLACE & CHIMNEY
.......
DATE
INSPECTOR
THE NEW YORK BOARD OF FIRE UNDERWRITERS
l{;~)~i2~J. BUREAU OF ELECTRICITY
~-- 85 JOHN STREET, NEW YORK, NY 10038
.' , O.t.' APRIL 28,1997 ~ppfieation Mo, onf~ 1319~397/97 N 418219
THIS CE~IFIES THAT
o~y the e~trical ~uipment ~ ~scrib~ be~w a~ int~uc~ by t~ applicant ~med on the a~ve application number in the prem~e~ of
~[ARYkNNE FARLEY, 1450 LONGVIEW LANF,, POLE #
in the followlng iocation; [] B~sement [] Ist FI. ~ 2nd Ff. G~/OUT 'Section Block Lot
was examined on /~RIL 22, :[997 and found to be in compliance with the National Electrical Code.
DRYERS I FURNACE MOTORS I FUTURE APPLIANCE FEEDERS
AMT. I(,W. OIL H,P, GAS H.P, A~T. NO. A W.G.
SERVICE DISCONNECT
METER
1 100 CB
RANGES
iPECIAL REC'PT
R
TIME CLOCKS BELL UNIT HEATERS MULTI.OUTLET
SYSTEMS
A~T ,~PS, TRANS. NO. OF FEET
S V I C
EXHAUST FANS
DIMMERS
NEUTRALS A, W G,
OF NEUTRAL
2t0
Per 11 GENERAL MANAGER
This ¢ertific~e must not be aJtered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
PAUL R. BURNS
PO BOX 1061
SOUTHOLD, ~Z', 11971-~932
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN:I~Y~ MANNER.
Iq)RH NU.
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IIII 11,DI Iq(~ I) 1~ I~ ^ l/'l'i'll?, lt'l
'l'l)lIN Il^IA.
IiOIITIIOI,I), N.Y.
TEl.:
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I i'l.qTll U CT I OI,I fl
Illl^l(ll t11: Ill';^l.'l'll ...............
,...~3 ,ql';Tll Og I'I.^N,S ...............
/,qlIIIVEY ........................
/CIIE~K .........................
,ql~P'l' 1C FORH ...................
NOTIFY: /
IIA 11, TO: ...................
a. 'Il.is aplHit:nl i(~ .u,qt I~: c~s.qHetely filled in by lylX~,n'iter or in ink n,,I nuNnitled to
b. Iqol plnn shtxdn8 Ilk:al. iisi o[ Iol m~] of Niildlngs ~m l~o.isea, ~elal. ionshil~
Ihin npplication.
('. 'lhe ~nk covered hy tltjs allllical iOll iXily [Ill' I~ (:ciII!~l~ I~[bre iasuam'e of I~Hlding Permit.
(k't'Ul~l[~:~ ~dmll have Is~n Ilraut~l by the Iiiilding
I~'l~ulnl i~m~, for Ihe c~.ml'n~l i(~ of I~Hldingn, ~hlll i(~m or alle~nl, ions, or for r(m~vnl or
descrilxM. 'lhe al~pli(:anl, ngeees to c~{)ly with all al])licnble I;~s. ordinances, laJilding c(xle, h(aming
(fiignalure of npplicanl', of ni~e, if a CmlXna(ion)
(itl~. lull I'll lo Of co~'pO~ille: o[:fice~)
~,~.,:,~.:i.,,:, ,.i,:~,,:,~ ,,,....3..s..q..7. ~? ......
OI her 'l'r;uk~ ' a l.icense ~ .....................
...... ...................... ................. 5 ...........................
l~,lxlivi,,i,a, .. ~g.U.~..~.~.~ ............ Fi led ~ll' Il,. g.~.¢.{ ....... lot .~ .~ .........
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]PI,OT DIA(}ITAFI
C~IRE L GLEW i (~,u ul e (~l' Al)id
Not~ Pubfic, State of New YOrk
No~4~79505, ~ ~.
Ou~lified ~n Suftol~ Coum~
Commission Expires Oecemb~r ~ 1~ ~